I live in Texas, the only way for me to get live serie A games is on Rai International available on Dish Network. I bought my dish specifically for this reason. I pay around $18 a month and this is the only channel I get (for 2 games a week, one live and one repeat on same day delay). The reason I only get this channel is because in Texas you have to have a seperate dish to recieve international channels (another dish is required for normal US cable channels). This may not be the case for residents on the east or west coast but I am not sure. It is a little expensive for one channel but its about the only tv I watch. The coverage is great though, on the early live games they show all the goals scored from all the other Serie A games right after they happen so its pretty much non stop action. If you want to see Italian league games in the US I would check out Dish Network, soccertv.com is also great help.
There is also Gol TV available through the Dish Network spanish package although I don't think they show any games live.
There is also Gol TV available through the Dish Network spanish package although I don't think they show any games live.